2.9 The space remaining on the reverse side of the Certificate may be used by the originator for any additional information but must not include any certification statement. Any use of the reverse side of the Certificate must be referenced in the appropriate block on the front side of the Certificate
3.
COPIES
3.1 There is no restriction in the number of copies of the Certificate sent to the cus-tomer or retained by the originator.
4.
ERROR(S) ON A CERTIFICATE
4.1 If an end-user finds an error(s) on a Certificate, he must identify it/them in writing to the originator. The originator may issue a new Certificate only if the error(s) can be verified and corrected.
4.2 The new Certificate must have a new tracking number, signature and date.
4.3 The request for a new Certificate may be honoured without re-verification of the item(s) condition. The new Certificate is not a statement of current condition and should refer to the previous Certificate in block 12 by the following statement; “This Certificate corrects the error(s) in block(s) [enter block(s) corrected] of the Certificate [enter original tracking number] dated [enter original issuance date] and does not cover conformity/condition/release to service”. Both Certificates should be retained according to the retention period associated with the first.
5.
COMPLETION OF THE CERTIFICATE BY THE ORIGINATOR
Block 1 Approving Competent Authority/Country
State the name and country of the competent authority under whose jurisdiction this Certificate is issued. When the competent authority is the Agency, only “EASA” must be stated.
Block 2 EASA Form 1 header
“AUTHORISED RELEASE CERTIFICATE EASA FORM 1”
Block 3 Form Tracking Number
Enter the unique number established by the numbering system/procedure of the organisation identified in block 4; this may include alpha/numeric characters.
Block 4 Organisation Name and Address
Enter the full name and address of the approved organisation (refer to EASA form 3) releasing the work covered by this Certificate. Logos, etc., are permitted if the logo can be contained within the block.
Block 5 Work Order/Contract/Invoice
To facilitate customer traceability of the item(s), enter the work order number, con-tract number, invoice number, or similar reference number.
Block 6 Item
Enter line item numbers when there is more than one line item. This block permits easy cross-referencing to the Remarks block 12.
Block 7 Description
Enter the name or description of the item. Preference should be given to the term used in the instructions for continued airworthiness or maintenance data
(e.g. Illustrated Parts Catalogue, Aircraft Maintenance Manual, Service Bulletin, Component Maintenance Manual).
220
EU 127/2010
Block 8 Part Number
. Enter the part number as it appears on the item or tag/packaging. In case of an engine or propeller the type designation may be used.
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